Organization · Type 2 NPI
Portneuf River Center
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Pocatello, ID
NPI number
1518006113
Active
Practice location
427 N Arthur Ave Ste B
Pocatello, ID 83204-3006
Fax (208) 232-0881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | None listed |
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
3 other providers at this address
Other child & adolescent psychiatric/mental health clinical nurse specialist providers in Pocatello
About NPI 1518006113
Portneuf River Center's National Provider Identifier is 1518006113, issued on Feb 6, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Pocatello, ID. The record was last updated on Jul 18, 2008.